BRIAN BOOMGARDEN, MS CADC
Counselor - Mental Health
Active
Individual
NPI: 1871510677
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 11165 (WI) |
| Counselor - Mental Health | 101YM0800X | Yes | 2898-123 (WI) |
Frequently Asked Questions
NPI 1871510677 is the National Provider Identifier for BRIAN BOOMGARDEN, MS CADC, a Counselor - Mental Health provider located in Manitowoc, WI. This NPI was enumerated on July 16, 2006.
BRIAN BOOMGARDEN, MS CADC practices at 339 REED AVE, Manitowoc, WI 54220.
Quick Facts
- NPI
- 1871510677
- Type
- Individual
- Enumerated
- Jul 16, 2006
- Last Updated
- Jun 3, 2008
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